Haven Health Prescott LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 8527441369 Enrollment ID O20220811002672

Facilities by state

  • AZ1

Details

Linked facilitiesFacilities
1

17 parties: 4 organizations · 13 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Stephen Samuelian3375453392Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF36.73
Spencer R Samuelian5890930770Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF25.21
Robert Samuelian4284544206Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF20.13
Brett P Robertson9234273772Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF7.61
Christian R West0345485223Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF6.4
Jason J Seastrand8426373853IndividualOperational/Managerial Control; ADP of the SNF; Direct Ownership Interest3.92
Stephanie Espinosa6103354022IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF0
Lindsay Fragoso8820526742IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF0
Health Group Management LLC9931637840OrganizationOperational/Managerial Control; ADP of the SNF
Heather Hudson Morris0345623187IndividualOperational/Managerial Control; ADP of the SNF
Stock Longhurst9830627751IndividualOperational/Managerial Control; ADP of the SNF
Taylor Ward0143759589IndividualOperational/Managerial Control; ADP of the SNF
Terrence J Montgomery4183724487IndividualOperational/Managerial Control; ADP of the SNF
Thomas Frederic Garland2264535731IndividualOperational/Managerial Control; ADP of the SNF
Haven Health Group LLC9638314511Organization5% or Greater Direct Ownership Interest100
Haven Health Properties LLC0648709675Organization5% or Greater Mortgage Interest; ADP of the SNF100
Haven Prescott Real Estate LLC9234668674Organization5% or Greater Mortgage Interest; ADP of the SNF100

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Haven Health Prescott, LLC
Haven Health Prescott LLC
57 residents
Other disclo…
3.73Ovr★★★★Stf★★★☆☆Ins★★★★QM★★★☆☆57
  • Haven Health Prescott LLC
    Other disclosed role57 res3.73 HPRD
    Overall 4Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/01/2022Haven Health Prescott, LLCHaven Health Prescott LLCPrescott Nursing and Rehabilitation Center LLCBuyer
  1. 06/01/2022
    Prescott Nursing and Rehabilitation Center LLCHaven Health Prescott LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Haven Health Prescott LLC in FEC filings. Similar names may appear—confirm on FEC.gov.